-characterized by weakness and low grip strength, low energy, slowed walking speed, low physical activity, unintentional weight loss
frailty
name 2 frailty measures.
- FRAIL scale
- physical frailty phenotype
t/f - frailty does not increase the risk of falls and disability.
false
can frailty be reversed and delayed?
yes
- has been used to effectively guide frailty interventions
- determine client-centered performance context - complete occupational profile, identify reported strengths and problems, establish primary goals based on ADLs that are most important to client
- observe task performance
- define and describe actions client does and does not perform effectively
- define/clarify or interpret the cause
- select approach or combination of approaches - compensatory, education, occupational skills training, enhancement of body functions
- re-evaluate
the occupational therapy intervention process model (OTIPM)
name 4 frailty interventions.
- environmental modification and assistive technology
- community re-integration programs
- physical activity problems
- combined approaches - physical activity, dietary changes, adaptive equipment and environmental modifications
name an environmental modification intervention for frailty.
CAPABLE
- structural adaptations
- home repairs
- assistive devices
- regular household items
CAPABLE
- 2x per week, 60 min sessions of individually tailored, progressive physical activity
- includes: warm up, resistance training, static and dynamic balance training, flexibility training, functional exercise
physical activity program - frailty
- includes 4 face to face visits, check in calls, tailored text messages
- begins with comprehensive eval of physical and social function, home safety assessment, need for adaptive equipment and environmental modification
- present physical activity guidelines
- personalized exercise plan, exercise log
- dietary info
- dietary goals and plans, dietary log
OT led habit training intervention
name 5 medication management interventions.
- health literacy - need for medication
- transportation and/or delivery
- integrate medication management into daily routine
- automatic pill dispensers, daily planner, alarms, pill organizers, store in same/convenient location
- easy open containers, pill splitter, medicine cabinet with LED light
what is the most popular choice for volunteer assignments?
religious institutions
- opportunities for social contact and support
- positive feelings: rewarding, stimulating, and satisfying
- provides a meaningful role
- feeling part of the local community
volunteer experience
name 4 benefits of volunteering for older adults.
- reduction in mortality rates
- increased life satisfaction
- enhanced sense of purpose in life
- increased psychological well-being
name 2 mediating variables with regard to benefits of volunteerism.
- number and range of volunteer roles
- personal preference and choice
help to design special needs shelters, help clients with advanced planning
preparedness
assist in special needs shelters, provide supportive mental health
response
coping skills, returning to meaningful activities and routines
recovery
exacerbation of chronic conditions can occur due to which 3 things associated with emergency preparedness.
- stress
- extreme heat or cold
- lack of safe food and water
name 2 strategies for creating emergency plans for older adults and their families.
- create a contact list/care plan
- prepare a to-go kit
does a person feel tired, do they have the ability to walk up 10 steps, can they walk several hundred yards, are they experiencing illness
FRAIL scale
frailty is considered if weight loss is more than what percent of a person’s body weight in the past year?
5%
describe scoring for the physical frailty phenotype.
if you have 3 or more of these symptoms you are considered to have frailty, if you have 1 or 2 of these symptoms you are considered prefrail.
name the 6 symptoms/measures in the physical frailty phenotype.
- grip strength - weakness
- TUG - looks at slow gait speed
- weight loss - past 6 months
- exhaustion
- reporting less energy to do things
- low physical activity
